Organization Active NPI

Laramie Spinal Care Center, P.C.

  • Chiropractor
  • Laramie, WY
National Provider Identifier
1417133786
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
576 Issued in WY
Legal business name
LARAMIE SPINAL CARE CENTER, P.C.
Practice address
2130 E Grand Ave
Laramie, WY 82070-4345
Phone
(307) 742-0232
Fax
(307) 742-4893
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeremy D Jones, D.C.NPI 1508876368
Title
Owner
Phone
(307) 742-0232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 576 WY Primary

Addresses

Primary practice location

2130 E Grand Ave
Laramie, WY 82070-4345

Mailing address

2130 E Grand Ave
Laramie, WY 82070-4345
Phone (307) 742-0232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080401000037 WY Part B Supplier - Clinic/Group Practice 4587740527 Receives reassigned benefits from 1 practitioner
Practice locations: Laramie, WY

National Provider Directory

National Provider Directory

Locations

2130 E Grand Ave
Laramie, WY 82070
Phone (307) 742-0232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1417133786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704345",
            "telephone_number": "307-742-0232",
            "fax_number": "307-742-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 E GRAND AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704345",
            "telephone_number": "307-742-0232",
            "fax_number": "307-742-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAMIE SPINAL CARE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-742-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.